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Brewer SE, Fisher M, Zittleman L, Warman MK, Fort M, Gilchrist E, Mallory J, Mullen R, Barron J, Skendadore A, Ahmed FY, LoudHawk-Hedgepeth C, Tamez M, Kwan BM, Nease DE. Rapid Community Translation in the Colorado CEAL (CO-CEAL) Program: Transcreating Messaging to Promote COVID-19 Vaccination. Am J Public Health 2024; 114:S50-S54. [PMID: 38207258 PMCID: PMC10785182 DOI: 10.2105/ajph.2023.307456] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/15/2023] [Indexed: 01/13/2024]
Abstract
Providing communities with COVID-19 vaccination information is essential for optimizing equitable vaccine uptake. Using rapid community translation, adapted from Boot Camp Translation, five community teams transcreated COVID-19 vaccination campaigns. Transcreated messaging incorporated community attitudes, culture, and experiences. Using rapid community translation for the promotion of COVID-19 vaccination demonstrates a successful approach to engaging communities most affected by the pandemic to develop messages that reflect community values, assets, and needs, especially when time is of the essence. (Am J Public Health. 2024;114(S1):S50-S54. https://doi.org/10.2105/AJPH.2023.307456).
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Affiliation(s)
- Sarah E Brewer
- Sarah E. Brewer is with the Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS) and the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora. Mary Fisher and Donald E. Nease are with ACCORDS, the Department of Family Medicine, and the Colorado Clinical and Translational Sciences Institute (CCTSI), University of Colorado Anschutz Medical Campus. Linda Zittleman and Rebecca Mullen are with the Department of Family Medicine, University of Colorado Anschutz Medical Campus. Meredith K. Warman is with the Department of Family Medicine and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Meredith Fort is with ACCORDS and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Emma Gilchrist is with the Department of Family Medicine and the Farley Health Policy Center, University of Colorado Anschutz Medical Campus. Jameel Mallory is with the Office of Diversity Equity and Inclusion and Community Engagement, University of Colorado Anschutz Medical Campus. Jose Barron is with the Colorado Cancer Center, University of Colorado Anschutz Medical Campus. Amanda Skendadore is with ACCORDS. Farduus Y. Ahmed is with the Department of Psychiatry, University of Colorado Anschutz Medical Campus. Crystal LoudHawk-Hedgepeth and Montelle Tamez are with the CCTSI. Bethany M. Kwan is with ACCORDS, the Department of Emergency Medicine, and the Department of Family Medicine, University of Colorado Anschutz Medical Campus
| | - Mary Fisher
- Sarah E. Brewer is with the Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS) and the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora. Mary Fisher and Donald E. Nease are with ACCORDS, the Department of Family Medicine, and the Colorado Clinical and Translational Sciences Institute (CCTSI), University of Colorado Anschutz Medical Campus. Linda Zittleman and Rebecca Mullen are with the Department of Family Medicine, University of Colorado Anschutz Medical Campus. Meredith K. Warman is with the Department of Family Medicine and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Meredith Fort is with ACCORDS and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Emma Gilchrist is with the Department of Family Medicine and the Farley Health Policy Center, University of Colorado Anschutz Medical Campus. Jameel Mallory is with the Office of Diversity Equity and Inclusion and Community Engagement, University of Colorado Anschutz Medical Campus. Jose Barron is with the Colorado Cancer Center, University of Colorado Anschutz Medical Campus. Amanda Skendadore is with ACCORDS. Farduus Y. Ahmed is with the Department of Psychiatry, University of Colorado Anschutz Medical Campus. Crystal LoudHawk-Hedgepeth and Montelle Tamez are with the CCTSI. Bethany M. Kwan is with ACCORDS, the Department of Emergency Medicine, and the Department of Family Medicine, University of Colorado Anschutz Medical Campus
| | - Linda Zittleman
- Sarah E. Brewer is with the Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS) and the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora. Mary Fisher and Donald E. Nease are with ACCORDS, the Department of Family Medicine, and the Colorado Clinical and Translational Sciences Institute (CCTSI), University of Colorado Anschutz Medical Campus. Linda Zittleman and Rebecca Mullen are with the Department of Family Medicine, University of Colorado Anschutz Medical Campus. Meredith K. Warman is with the Department of Family Medicine and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Meredith Fort is with ACCORDS and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Emma Gilchrist is with the Department of Family Medicine and the Farley Health Policy Center, University of Colorado Anschutz Medical Campus. Jameel Mallory is with the Office of Diversity Equity and Inclusion and Community Engagement, University of Colorado Anschutz Medical Campus. Jose Barron is with the Colorado Cancer Center, University of Colorado Anschutz Medical Campus. Amanda Skendadore is with ACCORDS. Farduus Y. Ahmed is with the Department of Psychiatry, University of Colorado Anschutz Medical Campus. Crystal LoudHawk-Hedgepeth and Montelle Tamez are with the CCTSI. Bethany M. Kwan is with ACCORDS, the Department of Emergency Medicine, and the Department of Family Medicine, University of Colorado Anschutz Medical Campus
| | - Meredith K Warman
- Sarah E. Brewer is with the Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS) and the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora. Mary Fisher and Donald E. Nease are with ACCORDS, the Department of Family Medicine, and the Colorado Clinical and Translational Sciences Institute (CCTSI), University of Colorado Anschutz Medical Campus. Linda Zittleman and Rebecca Mullen are with the Department of Family Medicine, University of Colorado Anschutz Medical Campus. Meredith K. Warman is with the Department of Family Medicine and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Meredith Fort is with ACCORDS and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Emma Gilchrist is with the Department of Family Medicine and the Farley Health Policy Center, University of Colorado Anschutz Medical Campus. Jameel Mallory is with the Office of Diversity Equity and Inclusion and Community Engagement, University of Colorado Anschutz Medical Campus. Jose Barron is with the Colorado Cancer Center, University of Colorado Anschutz Medical Campus. Amanda Skendadore is with ACCORDS. Farduus Y. Ahmed is with the Department of Psychiatry, University of Colorado Anschutz Medical Campus. Crystal LoudHawk-Hedgepeth and Montelle Tamez are with the CCTSI. Bethany M. Kwan is with ACCORDS, the Department of Emergency Medicine, and the Department of Family Medicine, University of Colorado Anschutz Medical Campus
| | - Meredith Fort
- Sarah E. Brewer is with the Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS) and the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora. Mary Fisher and Donald E. Nease are with ACCORDS, the Department of Family Medicine, and the Colorado Clinical and Translational Sciences Institute (CCTSI), University of Colorado Anschutz Medical Campus. Linda Zittleman and Rebecca Mullen are with the Department of Family Medicine, University of Colorado Anschutz Medical Campus. Meredith K. Warman is with the Department of Family Medicine and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Meredith Fort is with ACCORDS and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Emma Gilchrist is with the Department of Family Medicine and the Farley Health Policy Center, University of Colorado Anschutz Medical Campus. Jameel Mallory is with the Office of Diversity Equity and Inclusion and Community Engagement, University of Colorado Anschutz Medical Campus. Jose Barron is with the Colorado Cancer Center, University of Colorado Anschutz Medical Campus. Amanda Skendadore is with ACCORDS. Farduus Y. Ahmed is with the Department of Psychiatry, University of Colorado Anschutz Medical Campus. Crystal LoudHawk-Hedgepeth and Montelle Tamez are with the CCTSI. Bethany M. Kwan is with ACCORDS, the Department of Emergency Medicine, and the Department of Family Medicine, University of Colorado Anschutz Medical Campus
| | - Emma Gilchrist
- Sarah E. Brewer is with the Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS) and the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora. Mary Fisher and Donald E. Nease are with ACCORDS, the Department of Family Medicine, and the Colorado Clinical and Translational Sciences Institute (CCTSI), University of Colorado Anschutz Medical Campus. Linda Zittleman and Rebecca Mullen are with the Department of Family Medicine, University of Colorado Anschutz Medical Campus. Meredith K. Warman is with the Department of Family Medicine and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Meredith Fort is with ACCORDS and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Emma Gilchrist is with the Department of Family Medicine and the Farley Health Policy Center, University of Colorado Anschutz Medical Campus. Jameel Mallory is with the Office of Diversity Equity and Inclusion and Community Engagement, University of Colorado Anschutz Medical Campus. Jose Barron is with the Colorado Cancer Center, University of Colorado Anschutz Medical Campus. Amanda Skendadore is with ACCORDS. Farduus Y. Ahmed is with the Department of Psychiatry, University of Colorado Anschutz Medical Campus. Crystal LoudHawk-Hedgepeth and Montelle Tamez are with the CCTSI. Bethany M. Kwan is with ACCORDS, the Department of Emergency Medicine, and the Department of Family Medicine, University of Colorado Anschutz Medical Campus
| | - Jameel Mallory
- Sarah E. Brewer is with the Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS) and the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora. Mary Fisher and Donald E. Nease are with ACCORDS, the Department of Family Medicine, and the Colorado Clinical and Translational Sciences Institute (CCTSI), University of Colorado Anschutz Medical Campus. Linda Zittleman and Rebecca Mullen are with the Department of Family Medicine, University of Colorado Anschutz Medical Campus. Meredith K. Warman is with the Department of Family Medicine and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Meredith Fort is with ACCORDS and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Emma Gilchrist is with the Department of Family Medicine and the Farley Health Policy Center, University of Colorado Anschutz Medical Campus. Jameel Mallory is with the Office of Diversity Equity and Inclusion and Community Engagement, University of Colorado Anschutz Medical Campus. Jose Barron is with the Colorado Cancer Center, University of Colorado Anschutz Medical Campus. Amanda Skendadore is with ACCORDS. Farduus Y. Ahmed is with the Department of Psychiatry, University of Colorado Anschutz Medical Campus. Crystal LoudHawk-Hedgepeth and Montelle Tamez are with the CCTSI. Bethany M. Kwan is with ACCORDS, the Department of Emergency Medicine, and the Department of Family Medicine, University of Colorado Anschutz Medical Campus
| | - Rebecca Mullen
- Sarah E. Brewer is with the Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS) and the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora. Mary Fisher and Donald E. Nease are with ACCORDS, the Department of Family Medicine, and the Colorado Clinical and Translational Sciences Institute (CCTSI), University of Colorado Anschutz Medical Campus. Linda Zittleman and Rebecca Mullen are with the Department of Family Medicine, University of Colorado Anschutz Medical Campus. Meredith K. Warman is with the Department of Family Medicine and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Meredith Fort is with ACCORDS and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Emma Gilchrist is with the Department of Family Medicine and the Farley Health Policy Center, University of Colorado Anschutz Medical Campus. Jameel Mallory is with the Office of Diversity Equity and Inclusion and Community Engagement, University of Colorado Anschutz Medical Campus. Jose Barron is with the Colorado Cancer Center, University of Colorado Anschutz Medical Campus. Amanda Skendadore is with ACCORDS. Farduus Y. Ahmed is with the Department of Psychiatry, University of Colorado Anschutz Medical Campus. Crystal LoudHawk-Hedgepeth and Montelle Tamez are with the CCTSI. Bethany M. Kwan is with ACCORDS, the Department of Emergency Medicine, and the Department of Family Medicine, University of Colorado Anschutz Medical Campus
| | - Jose Barron
- Sarah E. Brewer is with the Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS) and the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora. Mary Fisher and Donald E. Nease are with ACCORDS, the Department of Family Medicine, and the Colorado Clinical and Translational Sciences Institute (CCTSI), University of Colorado Anschutz Medical Campus. Linda Zittleman and Rebecca Mullen are with the Department of Family Medicine, University of Colorado Anschutz Medical Campus. Meredith K. Warman is with the Department of Family Medicine and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Meredith Fort is with ACCORDS and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Emma Gilchrist is with the Department of Family Medicine and the Farley Health Policy Center, University of Colorado Anschutz Medical Campus. Jameel Mallory is with the Office of Diversity Equity and Inclusion and Community Engagement, University of Colorado Anschutz Medical Campus. Jose Barron is with the Colorado Cancer Center, University of Colorado Anschutz Medical Campus. Amanda Skendadore is with ACCORDS. Farduus Y. Ahmed is with the Department of Psychiatry, University of Colorado Anschutz Medical Campus. Crystal LoudHawk-Hedgepeth and Montelle Tamez are with the CCTSI. Bethany M. Kwan is with ACCORDS, the Department of Emergency Medicine, and the Department of Family Medicine, University of Colorado Anschutz Medical Campus
| | - Amanda Skendadore
- Sarah E. Brewer is with the Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS) and the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora. Mary Fisher and Donald E. Nease are with ACCORDS, the Department of Family Medicine, and the Colorado Clinical and Translational Sciences Institute (CCTSI), University of Colorado Anschutz Medical Campus. Linda Zittleman and Rebecca Mullen are with the Department of Family Medicine, University of Colorado Anschutz Medical Campus. Meredith K. Warman is with the Department of Family Medicine and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Meredith Fort is with ACCORDS and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Emma Gilchrist is with the Department of Family Medicine and the Farley Health Policy Center, University of Colorado Anschutz Medical Campus. Jameel Mallory is with the Office of Diversity Equity and Inclusion and Community Engagement, University of Colorado Anschutz Medical Campus. Jose Barron is with the Colorado Cancer Center, University of Colorado Anschutz Medical Campus. Amanda Skendadore is with ACCORDS. Farduus Y. Ahmed is with the Department of Psychiatry, University of Colorado Anschutz Medical Campus. Crystal LoudHawk-Hedgepeth and Montelle Tamez are with the CCTSI. Bethany M. Kwan is with ACCORDS, the Department of Emergency Medicine, and the Department of Family Medicine, University of Colorado Anschutz Medical Campus
| | - Farduus Y Ahmed
- Sarah E. Brewer is with the Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS) and the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora. Mary Fisher and Donald E. Nease are with ACCORDS, the Department of Family Medicine, and the Colorado Clinical and Translational Sciences Institute (CCTSI), University of Colorado Anschutz Medical Campus. Linda Zittleman and Rebecca Mullen are with the Department of Family Medicine, University of Colorado Anschutz Medical Campus. Meredith K. Warman is with the Department of Family Medicine and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Meredith Fort is with ACCORDS and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Emma Gilchrist is with the Department of Family Medicine and the Farley Health Policy Center, University of Colorado Anschutz Medical Campus. Jameel Mallory is with the Office of Diversity Equity and Inclusion and Community Engagement, University of Colorado Anschutz Medical Campus. Jose Barron is with the Colorado Cancer Center, University of Colorado Anschutz Medical Campus. Amanda Skendadore is with ACCORDS. Farduus Y. Ahmed is with the Department of Psychiatry, University of Colorado Anschutz Medical Campus. Crystal LoudHawk-Hedgepeth and Montelle Tamez are with the CCTSI. Bethany M. Kwan is with ACCORDS, the Department of Emergency Medicine, and the Department of Family Medicine, University of Colorado Anschutz Medical Campus
| | - Crystal LoudHawk-Hedgepeth
- Sarah E. Brewer is with the Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS) and the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora. Mary Fisher and Donald E. Nease are with ACCORDS, the Department of Family Medicine, and the Colorado Clinical and Translational Sciences Institute (CCTSI), University of Colorado Anschutz Medical Campus. Linda Zittleman and Rebecca Mullen are with the Department of Family Medicine, University of Colorado Anschutz Medical Campus. Meredith K. Warman is with the Department of Family Medicine and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Meredith Fort is with ACCORDS and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Emma Gilchrist is with the Department of Family Medicine and the Farley Health Policy Center, University of Colorado Anschutz Medical Campus. Jameel Mallory is with the Office of Diversity Equity and Inclusion and Community Engagement, University of Colorado Anschutz Medical Campus. Jose Barron is with the Colorado Cancer Center, University of Colorado Anschutz Medical Campus. Amanda Skendadore is with ACCORDS. Farduus Y. Ahmed is with the Department of Psychiatry, University of Colorado Anschutz Medical Campus. Crystal LoudHawk-Hedgepeth and Montelle Tamez are with the CCTSI. Bethany M. Kwan is with ACCORDS, the Department of Emergency Medicine, and the Department of Family Medicine, University of Colorado Anschutz Medical Campus
| | - Montelle Tamez
- Sarah E. Brewer is with the Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS) and the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora. Mary Fisher and Donald E. Nease are with ACCORDS, the Department of Family Medicine, and the Colorado Clinical and Translational Sciences Institute (CCTSI), University of Colorado Anschutz Medical Campus. Linda Zittleman and Rebecca Mullen are with the Department of Family Medicine, University of Colorado Anschutz Medical Campus. Meredith K. Warman is with the Department of Family Medicine and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Meredith Fort is with ACCORDS and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Emma Gilchrist is with the Department of Family Medicine and the Farley Health Policy Center, University of Colorado Anschutz Medical Campus. Jameel Mallory is with the Office of Diversity Equity and Inclusion and Community Engagement, University of Colorado Anschutz Medical Campus. Jose Barron is with the Colorado Cancer Center, University of Colorado Anschutz Medical Campus. Amanda Skendadore is with ACCORDS. Farduus Y. Ahmed is with the Department of Psychiatry, University of Colorado Anschutz Medical Campus. Crystal LoudHawk-Hedgepeth and Montelle Tamez are with the CCTSI. Bethany M. Kwan is with ACCORDS, the Department of Emergency Medicine, and the Department of Family Medicine, University of Colorado Anschutz Medical Campus
| | - Bethany M Kwan
- Sarah E. Brewer is with the Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS) and the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora. Mary Fisher and Donald E. Nease are with ACCORDS, the Department of Family Medicine, and the Colorado Clinical and Translational Sciences Institute (CCTSI), University of Colorado Anschutz Medical Campus. Linda Zittleman and Rebecca Mullen are with the Department of Family Medicine, University of Colorado Anschutz Medical Campus. Meredith K. Warman is with the Department of Family Medicine and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Meredith Fort is with ACCORDS and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Emma Gilchrist is with the Department of Family Medicine and the Farley Health Policy Center, University of Colorado Anschutz Medical Campus. Jameel Mallory is with the Office of Diversity Equity and Inclusion and Community Engagement, University of Colorado Anschutz Medical Campus. Jose Barron is with the Colorado Cancer Center, University of Colorado Anschutz Medical Campus. Amanda Skendadore is with ACCORDS. Farduus Y. Ahmed is with the Department of Psychiatry, University of Colorado Anschutz Medical Campus. Crystal LoudHawk-Hedgepeth and Montelle Tamez are with the CCTSI. Bethany M. Kwan is with ACCORDS, the Department of Emergency Medicine, and the Department of Family Medicine, University of Colorado Anschutz Medical Campus
| | - Donald E Nease
- Sarah E. Brewer is with the Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS) and the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora. Mary Fisher and Donald E. Nease are with ACCORDS, the Department of Family Medicine, and the Colorado Clinical and Translational Sciences Institute (CCTSI), University of Colorado Anschutz Medical Campus. Linda Zittleman and Rebecca Mullen are with the Department of Family Medicine, University of Colorado Anschutz Medical Campus. Meredith K. Warman is with the Department of Family Medicine and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Meredith Fort is with ACCORDS and the Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Emma Gilchrist is with the Department of Family Medicine and the Farley Health Policy Center, University of Colorado Anschutz Medical Campus. Jameel Mallory is with the Office of Diversity Equity and Inclusion and Community Engagement, University of Colorado Anschutz Medical Campus. Jose Barron is with the Colorado Cancer Center, University of Colorado Anschutz Medical Campus. Amanda Skendadore is with ACCORDS. Farduus Y. Ahmed is with the Department of Psychiatry, University of Colorado Anschutz Medical Campus. Crystal LoudHawk-Hedgepeth and Montelle Tamez are with the CCTSI. Bethany M. Kwan is with ACCORDS, the Department of Emergency Medicine, and the Department of Family Medicine, University of Colorado Anschutz Medical Campus
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Danhauer SC, Brenes GA, Tooze JA, Abubaker T, Thomas A, Howard DS, Puccinelli-Ortega N, Jimenez K, Graves K. Cultural and linguistic adaptation of a telephone-based cognitive-behavioral therapy (CBT) intervention to treat depression and anxiety in Hispanic cancer survivors. J Psychosoc Oncol 2023; 42:558-572. [PMID: 38127055 PMCID: PMC11190035 DOI: 10.1080/07347332.2023.2296045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2023]
Abstract
PURPOSE/OBJECTIVES The purpose of this study was to transcreate a manualized cognitive-behavioral therapy (CBT) intervention to address depression and anxiety among Hispanic cancer survivors. DESIGN/RESEARCH APPROACH Stakeholders reviewed the CBT workbook for language, content, and cultural relevance. We designed semi-structured interview guides to elicit intervention feedback. SAMPLE/PARTICIPANTS Stakeholder participants were Hispanic cancer survivors (n = 4), bilingual mental health providers (n = 2), and oncology professionals (n = 4). METHODS Transcreation was conducted by initial translation of the workbook followed by incorporation of stakeholder feedback. A bilingual (Spanish and English) interviewer conducted stakeholder interviews. The study team discussed themes/suggestions before refining the workbook. FINDINGS Stakeholders reported enthusiasm for the intervention. We gathered significant feedback regarding wording, images, and resources for the workbook. CONCLUSION Development of culturally appropriate mental health resources for Hispanic cancer survivors is critical. IMPLICATIONS FOR PSYCHOSOCIAL PROVIDERS OR POLICY By broadening research on psychosocial care to the Hispanic population, we increase the reach of evidence-based psychological care. Future research should fully evaluate the adapted CBT intervention among Hispanic survivors.
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Affiliation(s)
- Suzanne C. Danhauer
- Department of Social Sciences and Health Policy, Wake Forest University School of Medicine
| | - Gretchen A. Brenes
- Department of Social Sciences and Health Policy, Wake Forest University School of Medicine
- Department of Internal Medicine, Section on Gerontology and Geriatric Medicine, Wake Forest University School of Medicine
| | - Janet A. Tooze
- Department of Biostatistics and Data Science, Wake Forest University School of Medicine
| | - Tebianne Abubaker
- Department of Social Sciences and Health Policy, Wake Forest University School of Medicine
| | - Alexandra Thomas
- Department of Internal Medicine, Section on Hematology and Oncology, Wake Forest University School of Medicine
| | - Dianna S. Howard
- Department of Internal Medicine, Section on Hematology and Oncology, Wake Forest University School of Medicine
| | | | - Karolina Jimenez
- Department of Social Sciences and Health Policy, Wake Forest University School of Medicine
| | - Kristi Graves
- Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center
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Meade CD, Stanley NB, Arevalo M, Tyson DM, Chavarria EA, Aguado Loi CX, Rivera M, Gutierrez L, Abdulla R, Christy SM, Gwede CK. Transcreation matters: A learner centric participatory approach for adapting cancer prevention messages for Latinos. PATIENT EDUCATION AND COUNSELING 2023; 115:107888. [PMID: 37463555 DOI: 10.1016/j.pec.2023.107888] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 06/27/2023] [Accepted: 07/06/2023] [Indexed: 07/20/2023]
Abstract
BACKGROUND Advancing health equity requires innovative patient education approaches for adapting English-language evidence-based interventions (EBIs) to resonate with multicultural, multilingual audiences. OBJECTIVE Examine the benefit, functionality, and practical considerations of transcreation (translation + cultural adaptation) as a critical and salient learner-centric process for developing a Spanish-language intervention (photonovella + video): Un examen sencillo para un colon saludable (A simple test for a healthy colon). PATIENT/COMMUNITY INVOLVEMENT We involved patients/community members in a participatory reflective process, from problem identification to intervention design, development, delivery, and impact measurement. METHODS A community-based participatory research (CBPR) approach involving formative research plus systematic iterative pretesting and learner verification checks augmented by a community advisory board guided the transcreation processes. RESULTS Data collected using a learner-centric approach effectively produced a new Spanish-language EBI and substantiated the value of co-learner/co-design methods. Learner-centric methods identified cultural nuances that were treated as knowledge and integrated into the intervention materials and study design. Pilot testing of the intervention among Latinos receiving care at community clinics demonstrated improved initial colorectal cancer screening uptake, awareness, and perceived susceptibility. DISCUSSION Inherent in the transcreation process was learner involvement that informed essential modification and adaptation of the materials. The transcreation methods led to the development of a culturally salient intervention that maintained theoretical integrity and message intent as well as behavioral activation. Findings have broad implications for the creation and transfer of EBIs to new audiences for greater adoption, engagement, and 'reach' of interventions. PRACTICAL VALUE Transcreation aligns with a growing paradigm shift in health communication science that brings to light the beneficial effect that construction and application of cultural knowledge has on patient education toward health equity.
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Affiliation(s)
- Cathy D Meade
- Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, USA; Department of Oncological Sciences, University of South Florida, Tampa, USA; Department of Genitourinary Oncology, Moffitt Cancer Center, Tampa, USA.
| | - Nathanael B Stanley
- Office of Community Outreach, Engagement & Equity. Moffitt Cancer Center, Tampa, FL, USA
| | - Mariana Arevalo
- Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, USA; Office of Community Outreach, Engagement & Equity. Moffitt Cancer Center, Tampa, FL, USA
| | | | - Enmanuel A Chavarria
- Behavioral, Social, and Health Education Sciences Department, Emory University, Atlanta, GA, USA
| | - Claudia X Aguado Loi
- Department of Health Science and Human Performance, University of Tampa, Tampa, FL, USA
| | | | | | - Rania Abdulla
- NTRO Non-Therapeutic Research Office, Moffitt Cancer Center, Tampa, USA
| | - Shannon M Christy
- Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, USA; Department of Oncological Sciences, University of South Florida, Tampa, USA; Department of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, USA; Center for Immunization and Infection Research in Cancer, Moffitt Cancer Center, Tampa, USA
| | - Clement K Gwede
- Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, USA; Department of Oncological Sciences, University of South Florida, Tampa, USA; Department of Genitourinary Oncology, Moffitt Cancer Center, Tampa, USA; Department of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, USA
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4
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Gómez-Trillos S, Graves KD, Fiallos K, Schwartz MD, Peshkin BN, Hamilton H, Sheppard VB, Vadaparampil ST, Campos C, Cupertino AP, Alzamora MC, Lynce F, Hurtado-de-Mendoza A. Cultural adaptations to a telephone genetic counseling protocol and booklet for Latina breast cancer survivors at risk for hereditary breast and ovarian cancer. Transl Behav Med 2023; 13:297-308. [PMID: 36694918 PMCID: PMC10182423 DOI: 10.1093/tbm/ibac106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Telephone genetic counseling (TGC) is accepted as standard clinical care for people seeking hereditary cancer risk assessment. TGC has been shown to be non-inferior to in-person genetic counseling, but trials have been conducted with a predominantly highly educated, non-Hispanic White population. This article describes the process of culturally adapting a TGC protocol and visual aid booklet for Spanish-preferring Latina breast cancer survivors at risk for hereditary breast and ovarian cancers. The adaptation process included two phases. Phase 1 involved a review of the literature and recommendations from an expert team including community partners. Phase 2 included interviews and a pilot with the target population (n = 14) to collect feedback about the adapted protocol and booklet following steps from the Learner Verification and Revision Framework. We describe the adaptation process and report the main adaptations following the Framework for Reporting Adaptations and Modifications to Evidence-based Interventions (FRAME). Adaptations in Phase 1 were responsive to the target population needs and characteristics (e.g., delivered in Spanish at an appropriate health literacy level, addressing knowledge gaps, targeting cultural values). Phase 2 interviews were crucial to refine details (e.g., selecting words) and to add components to address GCT barriers (e.g., saliva sample video). Cultural adaptations to evidence-based TGC protocols can increase the fit and quality of care for historically underserved populations. As TGC visits become routine in clinical care, it is crucial to consider the needs of diverse communities to adequately promote equity and justice in cancer care.
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Affiliation(s)
- Sara Gómez-Trillos
- Department of Oncology, Georgetown Lombardi Comprehensive Cancer Center, Washington DC, USA
- Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Cancer Genomics, Georgetown Lombardi Comprehensive Cancer Center, Washington DC, USA
| | - Kristi D Graves
- Department of Oncology, Georgetown Lombardi Comprehensive Cancer Center, Washington DC, USA
- Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Cancer Genomics, Georgetown Lombardi Comprehensive Cancer Center, Washington DC, USA
| | - Katie Fiallos
- Kimmel Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Marc D Schwartz
- Department of Oncology, Georgetown Lombardi Comprehensive Cancer Center, Washington DC, USA
- Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Cancer Genomics, Georgetown Lombardi Comprehensive Cancer Center, Washington DC, USA
| | - Beth N Peshkin
- Department of Oncology, Georgetown Lombardi Comprehensive Cancer Center, Washington DC, USA
- Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Cancer Genomics, Georgetown Lombardi Comprehensive Cancer Center, Washington DC, USA
| | - Heidi Hamilton
- Department of Linguistics, Georgetown University, Washington, DC, USA
| | - Vanessa B Sheppard
- Department of Health Behavior and Policy, Virginia Commonwealth University, VA, USA
| | - Susan T Vadaparampil
- Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA
| | | | - Ana Paula Cupertino
- School of Medicine and Dentistry, Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA
| | - Maria C Alzamora
- Department of Obstetrics and Gynecology, MedStar Washington Hospital Center/Georgetown University Hospital, Washington, DC, USA
| | | | - Alejandra Hurtado-de-Mendoza
- Department of Oncology, Georgetown Lombardi Comprehensive Cancer Center, Washington DC, USA
- Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Cancer Genomics, Georgetown Lombardi Comprehensive Cancer Center, Washington DC, USA
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5
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Melnic I, Alvarado AE, Claros M, Martinez CI, Gonzalez J, Gany F. Tailoring nutrition and cancer education materials for breast cancer patients. PATIENT EDUCATION AND COUNSELING 2022; 105:398-406. [PMID: 34140197 PMCID: PMC8636528 DOI: 10.1016/j.pec.2021.05.040] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Revised: 04/22/2021] [Accepted: 05/29/2021] [Indexed: 06/12/2023]
Abstract
OBJECTIVE Many breast cancer patients are vulnerable to poor nutritional status and may benefit from nutrition education, but existing materials are not generally tailored to the needs of low-literacy immigrant and minority patients. METHODS With nutritionist guidance, we developed a nutrition presentation for breast cancer patients. English- (n = 29) and Spanish-speaking (n = 19) patients were recruited from 5 safety-net hospitals, an academic cancer center, and a Latina cancer support organization. Materials were tested using multiple rounds of cognitive interviewing (with an adapted USDA interview guide), followed by study team reviews and modifications, until saturation. RESULTS Seven rounds of interviews per language were needed. Approximately 25% of interviewees had less than a high school education. Changes included adapting to regional lexicons and resolving vague/confusing phrasing. Specific food examples needed cultural tailoring. Text color coding (red/bad, green/good) was requested. Labeled images enhanced participants' understanding of concepts. Spanish speakers expressed a desire to understand nutrition labeling, and this was emphasized in the Spanish slides. CONCLUSION Cognitive interviews were an important tool for creating a nutrition curriculum tailored to the needs of low-literacy, mostly immigrant patients. PRACTICE IMPLICATIONS Cultural and linguistic factors should be considered for nutritional education materials in diverse patient populations.
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Affiliation(s)
- Irina Melnic
- Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Angelica E Alvarado
- Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Maria Claros
- Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Chanel I Martinez
- Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Javier Gonzalez
- Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Francesca Gany
- Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Medicine, Weill Cornell Medical College, New York, NY, USA.
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Valera P, Acuna N, Alzate-Duque L, Liang LE, Cupertino P, Merulla J. The Development and Prototype Feedback of Digital Cancer 101 Videos to Enhance Cancer Education for Marginalized Communities With Limited Health Literacy. Cancer Control 2021; 28:10732748211006055. [PMID: 33784858 PMCID: PMC8209315 DOI: 10.1177/10732748211006055] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Social media, in the form of digital videos targeted to people with limited health literacy, as well as disadvantaged or marginalized groups, may help reduce cancer health disparities and improve health outcomes in these populations. In this article, we document the process of adapting the content from the Cancer 101 curriculum to create animated scripts about the cancer care continuum that is clear, straightforward, and in plain language. The development of the Cancer 101 digital videos required a multidisciplinary collaboration from-public health, medicine, technology, and expertise in correctional health, smoking cessation, web development, video producers, and individuals directly impacted by cancer disparities. The Cancer 101 videos were showcased at a community health fair where the videos were viewed by attendants waiting to be seen by a medical provider. While waiting for their cancer screening, 13 individuals were selected and invited to watch all 11 videos totaling less than 60-minutes of viewing time. They included 3 Latina women, 2 Latino men, and 8 Haitian women. All participants were between the ages of 40-65 years old. Overall, participants agreed that they would recommend the videos to friends/family (M = 4.77, SD = 0.44) and that they plan to watch other video modules to learn more information about cancer (M = 4.72, SD = 0.47). Additionally, participants enjoyed the graphics and audio of the videos presented (M = 4.85, SD = 0.38). Furthermore, participants noted that Cancer 101 digital videos described cancer in plain language, leading to a better understanding of the disease. Future research is needed to implement Cancer 101 digital videos in healthcare clinics to increase cancer information and improve cancer screening rates in marginalized communities.
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Affiliation(s)
- Pamela Valera
- Rutgers School of Public Health, Department of Urban-Global Public Health, Newark, NJ, USA.,Cancer Health Justice Lab (www.chjl.org), Newark, NJ, USA
| | - Nicholas Acuna
- Cancer Health Justice Lab (www.chjl.org), Newark, NJ, USA.,242612Rutgers School of Public Health, Piscataway, NJ, USA
| | - Luis Alzate-Duque
- Cancer Health Justice Lab (www.chjl.org), Newark, NJ, USA.,242612Rutgers New Jersey Medical School, Department of Medicine, Newark, NJ, USA
| | - Laura E Liang
- 242612Rutgers School of Public Health, Piscataway, NJ, USA
| | - Paula Cupertino
- 6923University of Rochester Medical Center, Wilmot Cancer Institute, Rochester, NY, USA
| | - Jessica Merulla
- HypnoViD Media Productions, Inc. (http://www.hypnovid.com), NY, USA
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Rangel ML, Heredia NI, Reininger B, McNeill L, Fernandez ME. Educating Hispanics About Clinical Trials and Biobanking. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2019; 34:1112-1119. [PMID: 30112612 PMCID: PMC6377344 DOI: 10.1007/s13187-018-1417-6] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Hispanics are under-represented in clinical research. To ensure that the Hispanic population benefits from advances in public health and medicine, including personalized medicine, there is a need to increase their participation in clinical trials and biobanking. There is a great need for improving awareness and addressing concerns individuals may have about participation. The purpose of this study was to adapt, implement, and evaluate educational materials about clinical trials and biobanking for Hispanic individuals. We adapted existing materials based on focus group data. We then trained four promotoras de salud to deliver education to Hispanic adults in community settings in Houston, TX. The promotoras educated 101 Hispanic adults, 51 on biobanking and 50 on clinical trials. Study staff administered brief pre- and post-test questionnaires that measured benefits, barriers, norms, self-efficacy, and intention to participate in either clinical trials or biobanking. Our sample was predominately female (83%) and Spanish-speaking (69%) and made less than $25,000 a year (87%). This intervention increased perceived benefits of participating in biobanking and clinical trials, self-efficacy for donating biospecimens, and intention to participate in biobanking if invited. Perceived barriers to participating declined. This study demonstrated that brief education can result in improved perceptions and attitudes related to participation in biobanking and clinical trials, and could increase participation. Researchers and practitioners could use these educational materials to educate Hispanic community members on clinical research potentially increasing participation rates in the future.
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Affiliation(s)
- M Lizette Rangel
- Department of Behavioral Science, MD Anderson Cancer Center, Houston, TX, USA.
| | - Natalia I Heredia
- Department of Health Promotion and Behavioral Sciences, UTHealth School of Public Health, Houston, TX, USA
- Center for Health Promotion and Prevention Research, UTHealth School of Public Health, Houston, TX, USA
| | - Belinda Reininger
- Department of Health Promotion and Behavioral Sciences, UTHealth School of Public Health, Brownsville Regional Campus, Brownsville, TX, USA
| | - Lorna McNeill
- Department of Health Disparities, MD Anderson Cancer Center, Houston, TX, USA
| | - Maria E Fernandez
- Department of Health Promotion and Behavioral Sciences, UTHealth School of Public Health, Houston, TX, USA
- Center for Health Promotion and Prevention Research, UTHealth School of Public Health, Houston, TX, USA
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Gonçalves V, Travado L, Ferreira PL, Quinn G. Protocol for the development and acceptability of a fertility-related decision aid for young women with breast cancer in Portugal. BMJ Open 2019; 9:e030690. [PMID: 31345986 PMCID: PMC6661612 DOI: 10.1136/bmjopen-2019-030690] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2019] [Revised: 06/17/2019] [Accepted: 06/25/2019] [Indexed: 12/13/2022] Open
Abstract
INTRODUCTION Young patients with breast cancer may face impaired fertility due to cancer treatments, which often leads to complex fertility decisions. To aid fertility decision-making, it is crucial that women have access to high-quality information; however, their fertility information needs are often unmet. Decision aids (DAs) are educational materials to assist with decision-making, by addressing individual values and preferences. In oncofertility, DAs may constitute a valuable resource to help patients obtain information and make better informed decisions. This paper reports on the protocol of the development and transcreation of a fertility-related DA booklet to support young Portuguese patients with breast cancer, originally developed and validated for an Australian audience. METHODS AND ANALYSIS Recent literature on clinical guidelines will be reviewed. A summary of these guidelines will be created and will inform the first round of DAs revisions. A forward translation process will translate the DA from Australian English to Portuguese. A multidisciplinary Portuguese experts panel will revise and give feedback on the scientific and cultural aspects of the DA content for Portuguese audience. Next, a backward translation process will assess content equivalence between the original and the final adapted version. Finally, Learner Verification (LV) will be used in a qualitative study of young patients with breast cancer and their partners. Two focus groups with 6-10 participants each will be conducted with: (1) recently diagnosed young patients with breast cancer; (2) breast cancer survivors and (3) their partners. Results from the DA acceptability assessment will inform its final version. Data will be analysed using content analysis and constant comparison method to identify key themes/textual units related to LV. ETHICS AND DISSEMINATION Ethical approval was granted by the Portuguese Institute of Oncology Porto. Results will be disseminated through peer-reviewed journals and presented at scientific meetings for academic and health professionals audiences.
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Affiliation(s)
- Vânia Gonçalves
- Centre for Health Studies and Research of the University of Coimbra (CEISUC), Coimbra, Portugal
| | - Luzia Travado
- Psycho-oncology, Neuropsychiatry Unit, Champalimaud Foundation, Lisbon, Portugal
| | - Pedro Lopes Ferreira
- Centre for Health Studies and Research of the University of Coimbra (CEISUC), Faculty of Economics, University of Coimbra, Coimbra, Portugal
| | - Gwendolyn Quinn
- Population Health, NYU Langone Health, New York City, New York, USA
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Nápoles AM, Stewart AL. Transcreation: an implementation science framework for community-engaged behavioral interventions to reduce health disparities. BMC Health Serv Res 2018; 18:710. [PMID: 30208873 PMCID: PMC6134771 DOI: 10.1186/s12913-018-3521-z] [Citation(s) in RCA: 57] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2018] [Accepted: 09/04/2018] [Indexed: 12/22/2022] Open
Abstract
Background Methods for translating evidence-based behavioral interventions into real-world settings seldom account for the special issues in reaching health disparity populations. Main text The objective of this article is to describe an innovative “transcreational” framework for designing and delivering interventions in communities to reduce health disparities. We define transcreation as the process of planning, delivering, and evaluating interventions so that they resonate with the community experiencing health disparities, while achieving intended health outcomes. The Transcreation Framework for Community-engaged Behavioral Interventions to Reduce Health Disparities comprises seven steps: 1) identify community infrastructure and engage partners; 2) specify theory; 3) identify multiple inputs for new program; 4) design intervention prototype; 5) design study, methods, and measures for community setting; 6) build community capacity for delivery; and 7) deliver transcreated intervention and evaluate implementation processes. Communities are engaged from the start and interventions are delivered by community-based interventionists and tested in community settings. The framework applies rigorous scientific methods for evaluating program effectiveness and implementation processes. It incorporates training and ongoing technical assistance to assure treatment fidelity and build community capacity. Conclusions This framework expands the types of scientific evidence used and balances fidelity to evidence and fit to the community setting. It can guide researchers and communities in developing and testing behavioral interventions to reduce health disparities that are likely to be sustained because infrastructure development is embedded in the research.
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Affiliation(s)
- Anna María Nápoles
- National Institute on Minority Health and Health Disparities, 9000 Rockville Pike, Building 3, Floor 5, Room E08, Bethesda, MD, 20892, USA.
| | - Anita L Stewart
- University of California San Francisco, 3333 California Street, Suite 350E, San Francisco, CA, 94118, USA
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